Effects of NMDA-receptor antagonism on hyperalgesia, opioid use, and pain after major surgery in young and elderly patients

ISRCTN ISRCTN64506738
DOI https://doi.org/10.1186/ISRCTN64506738
Secondary identifying numbers MCT-52682
Submission date
26/09/2005
Registration date
26/09/2005
Last edited
11/12/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Dr Lucia Gagliese
Scientific

Department of Anaesthesia
Toronto General Hospital
200 Elizabeth Street
Toronto
M5G 2C4
Canada

Phone +1 416 340 4296
Email lucia.gagliese@uhn.on.ca

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study hypothesisOur primary aim is to determine whether perioperative NMDA-receptor antagonism has differential effects on postoperative pain, hyperalgesia and morbidity in younger and older patients. In order to achieve this aim, we propose to conduct the first randomized, double-blind placebo-controlled study designed to investigate age differences in the effects of perioperative oral administration of an NMDA-receptor antagonist (amantadine) in men undergoing radical prostatectomy. In addition, age differences in psychosocial factors and the pharmacological properties of amantadine and morphine will be measured to control for, and clarify, their contribution to the differences found.
Ethics approval(s)Ethics approval received from the University Health Network Research Ethics Board, Toronto, Ontario on the 12th November 2003.
ConditionPostoperative pain in radical prostatectomy
InterventionAmantadine versus Placebo comparison.

Trial details received: 12 September 2005
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Amantadine
Primary outcome measureHyperalgesia and opioid consumption.
Secondary outcome measuresAssess age differences in the intensity and course of secondary hyperalgesia after surgery.
Overall study start date01/04/2002
Overall study end date31/12/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexMale
Target number of participants132
Participant inclusion criteria1. Able to read and write English
2. Age 18 - 54 years or greater than 55 years, male
3. American Society of Anesthesiologists (ASA) class 1 to 3
4. Scheduled for elective radical prostatectomy
5. Body weight between 60 and 90 kg, Body Mass Index (BMI) less than or equal to 30
Participant exclusion criteria1. Significant Central Nervous System (CNS), respiratory, cardiac, hepatic, renal or endocrine dysfunction and/or any significant sequelae
2. Contraindications allergies to, and/or past adverse reactions to opioid analgesics or amantadine
3. History of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) axis I disorder or cognitive dysfunction
4. History of epilepsy or other seizures
5. History of chronic pain of at least 6 months duration
6. History of long-term opioid use for chronic pain
7. History of long-term use of amantadine or other antiparkinsonian drug
8. Ingestion of antiussive medication within 48 hours before surgery
9. History of alcohol or drug dependency/abuse of at least 6 months duration
Recruitment start date01/04/2002
Recruitment end date31/12/2006

Locations

Countries of recruitment

  • Canada

Study participating centre

Department of Anaesthesia
Toronto
M5G 2C4
Canada

Sponsor information

University Health Network, Toronto (Canada)
University/education

200 Elizabeth Street
Toronto
M5G 2C4
Canada

Email kfibiger@uhnres.utoronto.ca
Website http://www.uhnresearch.ca
ROR logo "ROR" https://ror.org/026pg9j08

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-52682)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan